22
DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational Record and Report Forms. Annotated Bibliography of Tests. INSTITUTION Educational Testing Service, Princeton, N.J. Test Collection. PUB DATE Dec 89 NOTE 22p.; Supersedes February, 1988 Edition. PUB TYPE Reference Materials Bibliographies (131) EDRS PRICE MF01/PC01 Plus Postage. DESCRIPTORS *Academic Records; Annotated Bibliographies; Elementary Secondary Education; Postsecondary Education; *Profiles; *Records (Forms); Report Cards; *Student Evaluation; *Student Records IDENTIFIERS Test Bibliographies; Test Collection (Educational Testing Service) ABSTRACT The 44 records in this bibliography described record forms including cumulative record folders, report cards, test profile forms (which give varied interpretations of scores from standardized tests), and other data collection tools designed for specific uses in educational programs. The bibliography includes record forms for all grade levels. This document is one in a se-ies of topical bibliographies from the Test Collection at Educational Testing Service (ETS) containing descriptions of more than 18,000 tests and other measurement devices prepared by commercial publishers, teachers, educational institutions, professional associations, departments of education, counselors, etc. Each description contains the following basic information: TC Accession Number (a sixdigit identification number assigned by the Test Collection); the title of the instrument; personal or institutional author; year of publication or copyright; availability source; grade level for which test is suitable; age level for which test is suitable; and abstract. Other information, which is provided when known, includes subtests, number of test items, and time required to complete the test. Information on accessing the Test Collection via Internet concludes the docuLlent. (HAC) *********************************************************************** Reproductions supplied by EDRS are the best that can be made * from the original document. ***********************************AA***************************

DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

DOCUMENT RESUME

ED 369 802 TM 021 229

TITLE Educational Record and Report Forms. AnnotatedBibliography of Tests.

INSTITUTION Educational Testing Service, Princeton, N.J. TestCollection.

PUB DATE Dec 89NOTE 22p.; Supersedes February, 1988 Edition.PUB TYPE Reference Materials Bibliographies (131)

EDRS PRICE MF01/PC01 Plus Postage.DESCRIPTORS *Academic Records; Annotated Bibliographies;

Elementary Secondary Education; PostsecondaryEducation; *Profiles; *Records (Forms); Report Cards;*Student Evaluation; *Student Records

IDENTIFIERS Test Bibliographies; Test Collection (EducationalTesting Service)

ABSTRACTThe 44 records in this bibliography described record

forms including cumulative record folders, report cards, test profileforms (which give varied interpretations of scores from standardizedtests), and other data collection tools designed for specific uses ineducational programs. The bibliography includes record forms for allgrade levels. This document is one in a se-ies of topicalbibliographies from the Test Collection at Educational TestingService (ETS) containing descriptions of more than 18,000 tests andother measurement devices prepared by commercial publishers,teachers, educational institutions, professional associations,departments of education, counselors, etc. Each description containsthe following basic information: TC Accession Number (a sixdigitidentification number assigned by the Test Collection); the title ofthe instrument; personal or institutional author; year of publicationor copyright; availability source; grade level for which test issuitable; age level for which test is suitable; and abstract. Otherinformation, which is provided when known, includes subtests, numberof test items, and time required to complete the test. Information onaccessing the Test Collection via Internet concludes the docuLlent.

(HAC)

***********************************************************************

Reproductions supplied by EDRS are the best that can be made* from the original document.***********************************AA***************************

Page 2: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

5.= TEST COLLECTION

1

ANNOTATED BIBLIOGRAPHY OF TESTS

EDUCATIONAL RECORDAND REPORT FORMS

U IS DEPARTMENT OF EDUCATIONOffic. of Educational Research and Improvement

EDUCT1ONAL RESOURCES INFORMATIONCENTER IERICI

his document has been reproduced asreceived from tne person or organizationongiriating it

0 Minor changes have been made lo improvereproduction pulthty

Points ot vievror opinions 511150 in this document do not necessarily represent officialOERI position or policy

Educational Testing ServicePrinceton, New Jersey

2

PERMISSION TO REPRODUCE THIS

MATERIAL HAS BEEN GRANTED BY

lq#410,0 /ie.P6-1O

TO THE EDUCATIONAL RESOURCES

INFORMATION CENTER (ERIC)

Page 3: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

TEST COLLECTIONEDUCATIONAL TESTING SERVICE

PRINCETON, NJ 08541

EDUCATIONAL RECORD AND REPORT FORMSDECEMBER, 1989

SUPERSEDES FEBRUARY, 1988 EDITION

INTRODUCTION

Scope of Bibliography

Included on this list are cumulative record folders, re:lort cards,test profile forms which give varied interpretations of scores fromstandardized tests and other data collection tools designed for specificuses in educational programs.

Availability

Copies of the tests described on the following pages must be obtaineddirectly from the publisher, as stated in the AV AVAILABILITY section ofeach test citation. Generally, the Test Collection does not havedistribution rights for its holdings. However, in special instances, theTest Collection has been granted permission from individual authors todistribute their tests, which are primarily research instrumem.s. The AV

AVAILABILITY information for these instruments will be Tests inMi.zrofiche, Test Collection, Educational Testing Service, Princeton, NJ08541.

Guide to Citation Elements

The following is a guide to the various elements which may be present

in a test citation:

AN Six-digit identification number assigned by the Test Collection

TI Name of the instrument

DT - Components within the overall test which assess particularskills or factors

AU Personal or institutional author

YR - Year test was published or copyrighted

AV Test publisher or distributor; the organization which sells ordistributes the instrument

Copyright® 1989 by Educational Testing Service. All rights reserved.

Page 4: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

GL List of grades for which test is suitable

TG List of ages for which test is suitable

AB A description of the test and its purpose

4

Page 5: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

3

AN ACCESSION NUMBER: TC015253 ETS 8807.TI TITLE: Vital Checklist and Curriculum Guide.AU AUTHOR: Mithaug-Dennis-E; And Others.YR YEAR: 87.AV AVAILABILITY: Exceptional Education; PO Box 15308; Seattle, WA

98115.TG TARGET AUDIENCE: AGE 5-17, Adults.NT NOTES:

IT7IS: 43.AB ABSTRACT: Criterion-referenced assessment that evaluates the

essential problem solving and adaptability skills all students needto become independent at school, home, and work. Using the checklistportion of this package, teacher responds to questions concerningindividual students' decision making, independence, self evaluation,and adjustment skills. Answers may be either yes, no, or don't know.Then, from the answers recorded on the checklist, the teachercompletes the curriculum guide. The curriculum guide consists of thesame questions as the checklist, but in shorter form. Yes, no, and

don't know are translated into 0, 1, and 2 respectively. These

correspond to the level of priority each objective should be given.These answers allow the teacher to complete the Student Profile andProgram Emphasis Profile by plotting the number of yes and noansvers. This plotting should indicate the areas on which emphasisshould be placed by the teacher concerning either individual studentsor the curriculum. May be used over a period of time to assess howthe students and/or program are progressing. May be used with

handicapped students.

5

Page 6: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

4

AN ACCESSION NUMBER: TC014967 ETS 8705.TI TITLE: Identi-Form System for Gifted Programs.AU AUTHOR: Weber-Patricia; Battaglia-Catherine.YR YEAR: ..$2.

AV AVAILABILITY: D.O.K. Publishers; P.O. Box 605; East Aurora, NY14052.

GL GRADE LEVEL: 2; 3; 4; 5.AB ABSTRACT: This series of instruments and procedures designed for

the identification of gifted students includes a matrix record formfor data management and display which is said to simplify theprocedure for including and excluding students from a program. It

includes test performance and anecdotal measurement tools, includinga Personal Characteristics Appraisal, Peer Survey, Parent Survey,

Self Survey, Work Style Survey.

AN ACCESSION NUMBER: TC014901 ETS 8705.TI TITLE: Diagnostic Profile Form.AU AUTHOR: Solina-Dorothy; Venable-Gail-P.YR YEAR: 86.AV AVAILABILITY: Slosson Educational Publications; P.O. Box 280; East

Aurora, NY 14052.TG TARGET AUDIENCE: Adults.AB ABSTRACT: Used to display results of various tests and put them

into a practical perspective. Assists clinicians to organize theirfindings, use information from other professionals, and makerecommendations for placement and instruction. The form is designedto help reduce complex, technical data to a format that facilitatesinterpretation and makes psychometric data more understandable. It

provides a means to collate test results from various professionaldomains and helps to analyze multi-disciplinary data. Is

particularly useful at Individual Education Program (IEP) teammeetings and parent conferences.

AN ACCESSION NUMBER: TC014824 ETS 8705.TI TITLE: Forms for.Behavior Analysis with Children.AU AUTHOR: Cautela-joseph-R; And Others.YR YEAR: 83.AV AVAILABILITY: Research Press; 2612 North Mattis Avenue, Champaign,

IL 61820.TG TARGET AUDIENCE: AGE 6-17.AB ABSTRACT: These forms are part of a compilation for use in

assessing children's problems and in generating treatmentprescriptions for use in clinical work with children and adolescents.Included are instruments that measure: behavior, reinforcement,assertiveness, tension and anxiety, fear, medical history, physicalcomplaints, parent reactions, and school behavior. Severalinstruments are used during intervention to assess behaviors,

Page 7: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

5

motivation and progress. Some are completed by children, others byparent, school or personnel or therapy givers. They may be copied

as needed for clinical use.

AN ACCESSION NUMBER: TC014814 ETS 8705.TI TITLE: Student Profile and Assessment Record.DT SUBTESTS: General Information; Academic Information; Career;

Test Scores; High School Record; Health and Wellness; Activities

and Organizations; Special Concerns.AU AUTHOR: Miller-Theodore-K; Winston-Roger-B Jr.YR YEAR: 85.AV AVAILABILITY: Student Development Associates; 110 Crestwood Drive,

Athens, GA 30605.GL GRADE LEVEL: Higher Education.AB ABSTRACT: This form for recording data on students entering college

also includes sections assessing their perceived learning style,learning problems, career plans, health habits and social andpersonal areas in which the students anticipate difficulty and needsome help.

AN ACCESSION NUMBER: TC014780 ETS 8609.TI TITLE: Guidance Counsellor Performance Review.AU AUTHOR: Cadieux-Andre.YR YEAR: 85.AV AVAILABILITY: ERIC Document Reproduction Service; 3900 Wheeler

Avenue, Alexandria, VA 22304 (ED 257 003; 15 pages).TG TARGET AUDIENCE: Adults.AT NOTES:

ITEMS: 25.AB ABSTRACT: This evaluation vas developed by guidance counselors

working in French-language secondary schools in Ottawa, Canada. It

is performed jointly by the counselor and the department head orprincipal. The form is available in English and French. It covers:

counseling techniques; student growth; group techniques; personalgrowth; professional development; contribution to the school;administrative duties and obligations.

AN ACCESSION NUMBER: TC014663 ETS 8609.TI TITLE: Child Care Inventory.AU AUTHOR: Abbott-Shim-Martha-S; Sibley-Annette-M.YR YEAR: 86.AV AVAILABILITY: Kaplan School Supply Corporation; 1310

Lewisville-Clemmons Road, Lewisville, NC 27023.TG TARGET AUDIENCE: AGE 0-5.AB ABSTRACT: This checklist was designed to describe concrete,

observable components of an educational child care program. Eleven

areas are covered: classroom arrangement, safety, curriculum,interacting, scheduling, child assessment, health, special needs,

Page 8: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

6

parent involvement, outdoor play, and the infant program. It was

designed so that it may be used by a wide range of childprofessionals, including teacher aides, for program evaluation.Data are collected by direct observation, review of records, andinterviews.

Page 9: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

7

AN ACCESSION NUMBER: TC013534 ETS 8502.TI TITLE: C.U.B.E. Program Administration Forms.AU INSTITUTIONAL AUTHOR: Monroe County Community Schools, Bloomington,

IN.

YR YEAR: 79.AV AVAILABILITY: ERIC Document Reproduction Service; 3900 Wheeler Ave.,

Alexandria, VA 22304-5110 (ED 211 834; 66 pg).TG TARGET AUDIENCE: Adults.NT NOTES:AB ABSTRACT: A series of forms for use in administering an adult basic

education teaching/learning management system, C.U.B.E. (Continuity

and Unity in Basic Education). Includes: daily attendance records,enrollment forms, student performance forms. An additional fichediscusses program goals (ED 211 829, 29 pg.).

AN ACCESSION NUMBER: TC013163 ETS 8502,TI TITLE: Developmental Learning Profile.AU INSTITUTIONAL AUTHOR: Cuyahoga Special Education Service Center, OH.YR YEAR: 75.AV AVAILABILITY: Creative Learning Systems; 936 C Street, San Diego,

CA 92101.GL GRADE LEVEL: K; 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12.AB ABSTRACT: This instrument was designed by classroom teachers and

instructional supervisors for use by teachers of children withspecial developmental needs. The Profile is used to record achild's accomplishments of the basic "survival skills" throughouthis/her school years. Its developmental nature is designed tofacilitate the teacher's planning of an individualized curriculumfor the student. The Profile has a format and a marking system thatenable quick assessment of appropriate next learning goals in anyone of 7 major curriculum areas. The Performance Objecti,,es withineach Terminal Objective are sequentially ordered to help preventskill development gaps. The Profile provides a convenient,comprehensive, on-going record of the student's accomplishmentswhich can be used by classroom teachers, tutors, psychologists,principals, counselors, and parents on a daily, weekly, monthly, andyearly basis to determine short and long-range learning goalsspecific to a student's profile of accomplishments. The seven

curriculum areas are language arts, science, socia. ,tudies,physical and perceptual development, career develop Jnt,mathematics, personal-social development.

AN ACCESSION NUMBER: TC012860 ETS 8502.TI TITLE: Guidance Department Reporting Form.AU AUTHOR: Conroy-William-G Jr.YR YEAR: 76.AV AVAILABILITY: ERIC Document Reproduction Service; 3900 Wheeler Ave.,

Alexandria, VA 22304-5110 (ED 115 859; 17 pages).TG TARGET AUDIENCE: Adults.

Page 10: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

NT NOTES: See also Massachusetts Educational Impact Instrum nt (TC 012

858); Massachusetts Job Evaluation Inventory (IC 012 859).ITEMS: 12.

AB ABSTRACT: This form is one of 3 instruments in the MISOE(Management Information System for Occupational Education) ImpactBattery used to obtain impact data (descriptions of the experiencesof program completors during post-program life) for the sample data

systems. This reporting form seeks subject and performance datafrom the student's secondary instructional program.

AN ACCESSION NUMBER: TC012524 ETS 8502.TI TITLE: Application for Position as Teacher.AU INSTITUTIONAL AUTHOR: Steck-Vaughn Company, Austin, TX.AV AVAILABILITY: Steck-Vaughn Company; 807 Brazos, P.O. Box 2028;

Austin, TX 78768.TG TARGET AUDIENCE: Adults.NT NOTES:

ITEMS: 19.AB ABSTRACT: Elicits information on: educational/professional

training, teaching experience, references, high school subjectstaught and salary data, etc., for appointed teachers.

AN ACCESSION NUMBER: TC012523 ETS 8502.TI TITLE: Practical Health Record, Form 7150.AU INSTITUTIONAL AUTHOR: Steck-Vaughn Company, Austin, TX.AV AVAILABILITY: Steck-Vaughn Company; 807 Brazos, P.O. Box 2028;

Austin, TX 78768.GL GRADE LEVEL: 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12.AB ABSTRACT: Contains space for informatinn on disease history,

immunization record, physical examinat...on record and notes on

physical defects and corrections.

AN ACCESSION NUMBER: TC012522 ETS 8502.TI TITLE: Student's Cumulative Record - Grades 7-12 Form 7103.AU INSTITUTIONAL AUTHOR: Steck-Vaughn Company, Austin, TX.

YR YEAR: 74.AV AVAILABILITY: Steck-Vaughn Company; 807 Brazos, P.O. Box 2028;

Austin, TX 78768.GL GRADE LEVEL: 7; 8; 9; 10; 11; 12.AB ABSTRACT: A standard size letter-file folder for six-weeks, nine

weeks or quarter system. Space is provided for both elementary andhigh school grade, attendance, residence, health and immunizationrecords. Information on special education needs, physical problems,personal traits, employment, interests, honors and memberships canalso be recorded.

1 0

Page 11: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

9

AN ACCESSION NUMBER: TC012521 ETS 8502.TI TITLE: Elementary Cumulative Record, Form 7101.AU INSTITUTIONAL AUTHOR: Steck-Vaughn Company, Austin, TX.YR YEAR: 74.AV AVAILABILITY: Steck-Vaughn Company; 807 Brazos, P.O. Box 2028;

Austin, TX 78768.GL GRADE LEVEL'. K; 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12.AB ABSTRACT: A standard-size letter-file folder for complete

elementary and high school student records. Includes space forgrade, test, attendance, health, counseling an, extracurricularachievement. Space is provided for personal qualities,fingerprints, a photo and information on physical development.

AN ACCESSION NUMBER: TC012519 ETS 8502.TI TITLE: Student Registration and Withdrawal Forms.AU INSTITUTIONAL AUTHOR: Steck-Vaughn Company, Austin, TX.AV AVAILABILITY: Steck-Vaughn Company; 807 Brazos, P.O. Box 2028;

Austin, TX 78768.GL GRADE LEVEL: K; 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12.AB ABSTRACT: Forms for recording a student's withdrawal from school,

including space for grades and subjects. Registration cards include

space for.census-related data.

AN ACCESSION NUMPER: TC012518 ETS 8502.TI TITLE: Report to Parents, Forms 7241-7245.AU INSTITUTIONAL AUTHOR: Steck-Vaughn Company, Austin, TX.AV AVAILABILITY: Stech-Vaugiin Company; 807 Brazos, P.O. Box 2028;

Austin, TX 73768.GL GRADE LEVEL: 1; 2; 3; 4; 5; 6; 7; 8.AB ABSTRACT: Six-week, nine-week and quarterly report forms for

parents. Space is proviu,:' for attendance record and citizenshipgrade.

AN ACCESSION NUMBER: TC011907 ETS 8502.TI TITLE: Wechsler Intelligence Scale for Children-Revised Test

Profile.AU INSTITUTIONAL AUTHOR: Consulting Psychologists Press, Irc Palo

Alto, Calif.YR YEAR: 75.AV AVAILABILITY: Consulting Psychologists Press; 577 College Avenue,

Palo Alto, CA 94306.TG TARGET AUDIENCE: AGE 6-17.NT NOTES:AB ABSTRACT: Designed for use by psychologists in reporting test

results to teachers, parents or counselors. The shortens.d form of

reporting test scores provides for easy reference, graphic clarity,and a better understanding of subsections of the total test.

11

Page 12: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

AN ACCESSION NUMBER: TC009380 ETS 8502.TI TITLE: Behavior Description Referral Form.DT SUBTESTS: Management; Work Habits; Speech; Social Behavior;

Academic; Other.

AU AUTHCR: Alper-Theodore-G; White-Owen-R.YR YEAR: 71.AV AVAILABILITY: Journal of School Psychology; v9 n2 p177-181; 1971.GL GRADE LEVEL: K; 1; 2; 3; 4; 5; 6.AB ABSTRACT: Referral form designed for teachers of elementary school

students. Teacher can describe student's problems in specificbehavioral terms, thus encouraging cooperation between the teacherand a behaviorally-oriented school psychologist.

AN ACCESSION NUMBER: TC009352 ETS 8502.TI TITLE: School Referral Report Form.DT SUBTESTS: Type of Referral; Academic Adjustment; Testing Program;

Family Contact; Student Information.AU AUTHOR: Amble-Bruce-R.YR YEAR: 74.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

Chesterfield, MO 63006.GL GRADE LEVEL: K; 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12.NT NOTES: See also Referral Checklist (TC009151-).AB ABSTRACT: Designed for completion by classroom teacher. Useful in

referring students to specialists.

AN ACCESSION NUMBER: TC009240 ETS 8502.TI TITLE: Daily School Reports.AU AUTHOR: Keller-Charles.AV AVAILABILITY: Dr. Charles Keller; Hilton Family Medicine, P.C. 42

Lake Avenue, Hilton, NY 14468.GL GRADE LEVEL: 1; 2; 3; 4; 5; 6.AB ABSTRACT: A system designed for use by parents and teachers to

record specific behaviors of children. Behaviors e rated on a

daily or weekly basis and child is rewarded or punished providingimmediate feedback. Gnild is rated on positive, as well asnegative, behaviors.

AN ACCESSION NUMBER: TC009150 ETS 8502.TI TITLE: WPPSI Profile Form.AU AUTHOR: Hobby-Kenneth.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

Chesterfield, MO 63006.

TG TARGET AUDIENCE: AGE 4-6.NT NOTES:AB ABSTRACT: Summary of all necessary information needed to interpret

and understand WPPSI test results. Creates a visual display of

child's assets and weaknesses.

12

Page 13: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

11

AN ACCESSION NUMBER: TC009149 ETS 8502.TI TITLE: WAIS Profile Form.AU AUTHOR: Hobby-Kenneth.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

Chesterfield, MO 63006.TG TARGET AUDIENCE: AGE 16-17, Adults, Older Adults.NT NOTES:AB ABSTRACT: Summary of all necessary information needed to interpret

and understand WAIS test results. Creates a visual display ofsubject's assets and weaknesses.

AN ACCESSION NUMBER: TC009147 ETS 8502.TI TITLE: School Psychologist Report Outline.AU INSTITUTIONAL AUTHOR: Psychologists and Educators, Jacksonville, IL.YR YEAR: 74.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

Chesterfield, MO 63006.GL GRADE LEVEL: K; 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12.AB ABSTRACT: A form to be used in organizing psychological data of

students.

AN ACCESSION NUMBER: TC009146 ETS 8502.TI TITLE: Psychological Report Summary.AU INSTITUTIONAL AUTHOR: Psychologists and Educators, Inc.,

Jacksonville, IL.YR YEAR: 72.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

Chesterfield, MO 63006.GL GRADE LEVEL: K; 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12.TG TARGET AUDIENCE: Adults.AB ABSTRACT: Form designed to aia in preparing a psychological report

on a client.

AN ACCESSION NUMBER: TC009145 ETS 8502.TI TITLE: ITPA Profile Form.AU AUTHOR: Hobby-Kenneth-L.YR YEAR: 74.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

Chesterfield, MO 63006.TG TARGET AUDIENCE: AGE 2-10.NT NOTES:AB ABSTRACT: Designed to create a visual profile of student's ITPA

scores simplifying interpretation of test results. Profile may becompleted using scaled scores and raw scores.

Page 14: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

12

AN ACCESSION NUMBER: TC007888 ETS 8502.TI TITLE: Goal-Setting Process Form.AU AUTHOR: Knox-Alan-B; And Others.YR YEAR: 73.AV AVAILABILITY: ERIC Document Reproduction Service; 3900 Wheeler Ave.,

Alexandria, VA 22304-5110 (ED 091 537; 160p).TG TARGET AUDIENCE: Adults.NT NOTES:

ITEMS: 7.AB ABSTRACT: Accompanies 'Director Questionnaire (IC 007 876).

Pertains to a question on it dealing with policy decisions relatedto program goals. For each policy decision checked as being made ormodified during the year, a process form is completed. This formelicits information on issues, respondents role, others involved andoutcomes.

AN ACCESSION NUMBER: TC007887 ETS 8502.TI TITLE: Co-Sponsor Data Form.AU AUTHOR: Knox-Alan-B; And Others.YR YEAR: 73.AV AVAILABILITY: ERIC Document Reproduction Service; 3900 Wheeler Ave.,

Alexandria, VA 22304-5110 (ED 091 537; 160p).TG TARGET AUDIENCE: Adults.NT NOTES:

ITEMS: 11.AB ABSTRACT: For rating characteristics of adult basic education

programs that are co-sponsored by organizations such as hospitals,prisons, or churches as compared to others that are not co-sponsored.Covers administrative responsibilities, costs, effects on community,

and other factors.

AN ACCESSION NUMBER: TC007883 ETS 8502.TI TITLE: Teacher Rating Form.AU AUTHOR: Knox-Alan-B; And Others.YR YEAR: 73.AV AVAILABILITY: ERIC Document Reproduction Service; 3900 Wheeler Ave.,

Alexandria, VA 22304-5110 (ED 091537; 160p.).TG TARGET AUDIENCE: Adults.NT NOTES:

ITEMS: 8.AB ABSTRACT: A rating of overall performance of teachers instructing

in an adult basic educaion program. Also records other pertinent

data such as class taught, background.

AN ACCESSION NUMBER: TC007882 ETS 8502.TI TITLE: Teacher Data Form.AU AUTHOR: Knox-Alan-B; And Others.YR YEAR: 73.

14

Page 15: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

AV AVAILABILITY: ERIC Document Reproduction Service; 3900 Wheeler Ave.,Alexandria, VA 22304-5110 (ED 091537; 160p.).

TG TARGET AUDIENCE: Adults.NT NOTES:

ITEMS: 8.AB ABSTRACT: For gathering data on the background and characteristics

of the instructional staff in an adult basic education program.

AC ACCESSION NUMBER: TC007881 ETS 8502.TI TITLE: Student Data Form.AU AUTHOR: Knox-Alan-B; And Others.YR YEAR: 73.AV AVAILABILITY: ERIC Document Reproduction Service; 3900 Wheeler Ave.,

Alexandria, VA 22301-5110 (ED 091537; 160p.).TG TARGET AUDIENCE: Adults.NT NOTES:

ITEMS: 7.AB ABSTRACT: For tabulating information on approximate grade levels,

ages and other descriptive data for use in completing reports aboutan adult basic education program.

AN ACCESION NUMBER: TC007880 ETS 8502.TI TITLE: Program Statistics Form.AU AUTHOR: Knox-Alan-B; And Others.YR YEAR: 73.AV AVAILABILITY: ERIC Document Reproduction Service; 3900 Wheeler Ave.,

Alexandria, VA 22304-5110 (ED 091 537; 160p).TG TARGET AUDIENCE: Adults.NT NOTES:

ITEMS: 15.AB ABSTRACT: Used for collection of information on numbers of students

and teachers involved with a program of adult basic education.

AN ACCESSION NUMBER: TC006451 ETS 8502.TI TITLE: Rhodes WAIS Scatter Profile.DT SUBTESTS: Full Scale Scatter; Verbal Scale Scatter; Performance

Scale Scatter.AU AUTHOR: Rhodes; Fen.YR YEAR: 69.AV AVAILABILITY: Educational and Industrial Testing Services; P.O. Box

7234; San Diego, CA 92107.TG TARGET AUDIENCE: AGE 16-17, Adults.NT NOTES:

TIME: 1; approx.AB ABSTRACT: Designed to assist user of the WAIS in evaluating and

interpreting the levels and patterns of performance of individual

Page 16: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

14

subjects on the various subtests. Enables administratur todetermine which subtests deviate sufficiently from the composite tobe considered as having possible diagnostic significance.

AN ACCESSION NUMBER: TC006040 ETS 8502.TI TITLE: WISC Mental Description Sheet.DT SUBTESTS: Emotional Reactions; Consistency of Mental Activity;

Con.ent of Mental Activity; Intellectual Capacities and ResponseF,

AU AUTHOR: Blazer-John-A.YR YEAR: 70.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

Chesterfield, MO 63006.

TG TARGET AUDIENCE: AGE 5-15.NT NOTES:

TIME: 10; approx.AB ABSTRACT: Designed to reveal a graphic profile indicating subject's

general functioning. Interpretive areas include emotionalreactions, consistency of mental activity, content of mentalactivity, and intellectual capacities and responses.

AN ACCESSION NUMBER: TC005535 ETS 8502.TI TITLE: Rhodes WISC Scatter Profile.DT SUBTESTS: Full Scale Scatter; Verbal Scale Scatter; Performance

Scale Scatter.AU AUTHOR: Rhodes-Fen.YR YEAR: 69.AV AVAILABILITY: Educational and Industrial Testing Service; P.O. Box

7234; San Diego, CA 92107.TG TARGET AUDIENCE: AGE 5-15.NT NOTES:

TIME: 1; approx.AB ABSTRACT: Designed to assist user of the WISC in evaluating and

interpreting the levels and patterns of performance of individualsubjects on the various subtests. Enables administrator todetermine which subtests deviate sufficiently from the composite tobe considered as having possible diagnostic significance.

AN ACCESSION NUMBER: TC005472 ETS 8502.TI TITLE: Education Psychological Report Summary.AU INSTITUTIONAL AUTHOR: Psychologists and Educators, Inc.,

Jacksonville, Ill.YR YEAR: 70.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

St. Louis, MO 63017.TG TARGET AUDIENCE: Adults.AB ABSTRACT: Designed for use by counselors and psychologists to

1E;

Page 17: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

15

report summary psychological, social, behavioral, and educationresults back to teachers. Learning disabilities and organic brain

damage may also be reported.

AN ACCESSION NUMBER: TC005361 ETS 8502.TI TITLE: WISC-R Profile Form.AU AUTHOR: Hobby-Kenneth.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

Chesterfield, MC 63006.

TG TARGET AUDIENCE: AGE 6-16.NT NOTES:AB ABSTRACT: Summary of all necessary information needed to interpret

and understand WISC-R test results.

AN ACCESSION NUMBER: TC005358 ETS 8502.TI TITLE: Media Evaluation Report.AU AUTHOR: Perelle-Ira-B.YR YEAR: 74.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

Chesterfield, MO 63006.

TG TARGET AUDIENCE: Adults.AB ABSTRACT: Designed to standardize format and information gathered

through evaluation of educational materials. Materials in the

follo4ing mediums may be analyzed: film, slides, film strips,overhead transparencies, video tape, audio materials, printedmaterials, as well as kits which combine two or more types ofmaterial.

AN ACCESSION NUMBER: TC005357 ETS 8502.TI TITLE: Developmental Bender Gestalt Scoring Form for Young Children.AU AUTHOR: Hobby-Kenneth-L.YR YEAR: 74.AV AVAILABILITY: Psychologists and Educators, Inc.; P.O. Box 513,

Chesterfield, MO 63006.

TG TARGET AUDIENCE: AGE 5-11.AB ABSTRACT: An adaptation and summary of the system devised by

Elizabeth Koppitz for evaluay.ing developmentally by drawings, theperception cf children ages 5-11.

AN ACCESSION NUMBER: TC005228 ETS 8502.TI TITLE: Student Referral for Psychological Services.AU AUTHOR: McClain-William-A.YR YEAR: 69.AV AVAILABILITY: Western Psychological Services; 12031 Wilshire Blvd.,

Los Angeles, CA 90025.GL GRADE LEVEL: X; 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12.

Page 18: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

16

AB ABSTRACT: Comprehensive form to be completed by teacher or otherperson referring student for psychological services. Providesnecessary information about child's background and problem.

AN ACCESSION NUMBER: TC004802 ETS 8502.TI TITLE: Wechsler Intelligence Scale for Children: Test Profile.AU INSTITUTIONAL AUTHOR: Consulting Psychologists Press, Inc., Palo

Alto, Calif.YR YEAR: 68.AV AVAILABILITY: Consulting Psychologists Press; 577 College Avenue,

Palo Alto, CA 94306.TG TARGET AUDIENCE: AGE 5-15.NT NOTES:AB ABSTRACT: Designed for use by psychologists in reporting test

results to teachers, parents, or counsellors. The shortened form ofreporting test scores provides for easy reference, graphic clarity,and a better understanding of subsections of the total test.

AN ACCESSION NUMBER: TC004801 ETS 8502.TI TITLE: Wechsler Preschool and Primary Scale of Intelligence: Test

Profile.AU INSTITUTIONAL AUTHOR: Consulting Psychologists Press, Inc., Palo

Alto, Calif.YR YEAR: 68.AV AVAILABILITY: Consulting Psychologists Press; 577 College Avenue,

Palo Alto, CA 94306.TG TARGET AUDIENCE: AGE 4-6.NT NOTES:AB ABSTRACT: Designed for use by psychologists in reporting test

results to teachers or parents. The shortened form of reportingtest scores provides for easy reference, graphic clarity and abetter understanding of subsections of the total test.

AN ACCESSION NUMBER: TC004800 ETS 8502.TI TITLE: Wechsler Adult Intelligence Scale: Test Profile.AU INSTITUTIONAL AUTHOR: Consulting Psychologists Press, Inc., Palo

Alto, Calif.YR YEAR: 68.AV AVAILABILITY: Consulting Psychologists Press; 577 College Avenue,

Palo Alto, CA 94306.TG TARGET AUDIENCE: Adults, Older Adults.NT NOTES:AB ABSTRACT: Designed for use by psychologists in reporting test

results to teachers or parents. The shortened form of reportingtest scores provides for easy reference, graphic clarity and abetter understanding of subsections of the total test.

Page 19: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

17

AN ACCESSION NUMBER: TC003658 ETS 8502.TI TITLE: Personal History Audit.AU INSTITUTIONAL AUTHOR: Martin M. Bruce, Larchmont, N.Y.

YR YEAR: 56.AV AVAILABILITY: Martin M. Bruce, Publishers; 50 Larchmont Road, Box

248; Lsrchmont, NY 10538.TG TARGET AUDIENCE: Adults.AB ABSTRACT: Designed as basic personnel record or job application

form. Information is requested in areas of identifying data,marital, physical, educational, employment and unemployment,military, self evaluation, family and social, financial andeconomic, and interests and ambitions.

AN ACCESSION NUMBER: TC003029 ETS 8502.TI TITLE: A/9 Cumulative Record Folder.AU INSTITUTIONAL AUTHOR: American Guidance Service, Inc., Circle

Pines, MN.AV AVAILABILITY: American Guidance Service, Inc.; Publishers'

Building, Circle Pines, MN 55014.GL GRADE LEVEL: K; 1; 2; 3; 4; 5; 6; 7'; 8; 9; 10; 11; 12.AB ABSTRACT: Cumulative educational record-keeping form for students.

Has space for complete elementary and high school grade records,health records, extra curricular activities, plans for highereducation and vocation, counselors' interviews and recommendations;personality profiles; test scores. Consists of a letter-size folderprinted on both sides on tagboard.

Page 20: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

18

AN ACCESSION NUMBER: TC810548 ETS 8405.TI TITLE: Behaviour Problems: A System of Management.AU AUTHOR: Galvin-Peter; Singleton-Richard.YR YEAR: 84.AV AVAILABILITY: NFER Nelson Publishing Company; Darville House, 2

Oxford Road East, Windsor, Berks SL4 1DF, England.GL GRADE LEVEL: K; 1; 2; 3; 4; 5; 6; 7; 8; 9; 10; 11; 12.TG TARGET AUDIENCE: AGE 5-16.AB ABSTRACT: Provides a systematic means of recording and analyzing

information on children's disruptive behavior. Can be used byspecialist and non-specialist teachers and by educationalpsychologists. System consists of a manual and three forms. Thefirst two forms, the Behavior Checklist and the Daily Record, recordthe child's behaviors; moving from an overall profile to a deeperanalysis of areas of special concerns. The third form, the MonthlyProgress Chart, records the progress of trying to modify thesebehaviors. The Behaviour Checklist contains over 111 behavioursclassified into seven main sections: classroom conformity, taskorientation, emotional control, acceptance of authority, self worth,peer relationships, self responsibility-problem solving.

Page 21: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

ETS TEST COLLECTION VIA INTERNET

The ERIC Clearinghouse on Assessment and Evaluation has mounted on itsgopher site a database to help locate tests. This database can be used byaccessing the gopher at the address: GOPHER.0 %.EDU. The ERIC/ETS TestCollection is located under: Special Resources/ ERIC Clearinghouse onAssessment and Evaluation/ Test Locator/.

To search the database, enter keywords from the title or descriptors.For example, if you would like to search for tests on oral languageproficiency, you could type in all three words, or oral and proficiency. Youmay get slightly different results, but you will have information on a lot oftests to look at. If you know the title of the test, the best way to searchis to use the main words in the title, not necessarily all of the words in thetitle. If you are looking for the Wechsler Intelligence Scale forChildren-Revised, the most efficielx way to search is with the words Wechsler,intelligence, and children.

INTRODUCTION TO THE ETS TEST COLLECTION

The Educational Testing Service (ETS) Test Collection database containsrecords on over 9,500 tests and research ins-ruments. These records describethe instruments and provide availability information. The Test Collectionencompasses virtually all fields from vocational interest inventories foradults to instruments that measure shyness or predict recidivism in releasedcriminal offenders, to assessment of managerial style, as well aseducation-related achievement and aptitude tests. The test descriptions areindexed with ERIC Thesaurus terms for subject accessibility.

This is a joint project of ETS and ERIC_AE. ETS Library and ReferenceServices Division prepares the descriptions. ERIC_AE maintains the databaseand hosts the Search System. ERIC_AE has also begun to put ETS prepared testdescriptions into the ERIC Resources in Education database. About 15descriptions are added each month.

COPYRIGHT

COPYRIGHT (C) EDUCATIONAL TESTING SERVICE

You may download individual and small groups of test descriptions andyou may point to this service from any Gopher Site.

WHAT KIND OF TEST ARE DESCRIBED?

The Test Collection database collects a variety of instruments:achievement tests, aptitude tests, personality measures, attitude measures,career/vocational interest measures, occupational tests such as nursing orsales skills inventories. Many research instruments are collected as well astests from commercial publishers.

WHAT INFORMATION IS AVAILABLE ABOUT THE TESTS?

The title, author, publication date and source appear in the record. Anabstract describing the instrument, intended population, and uses accompaniesthe record. Subject terms give the age and grade level information as well asERIC Thesaurus terms that describe the test.

2 I

Page 22: DOCUMENT RESUME ED 369 802 TM 021 229 TITLE Educational … · 2014-05-07 · DOCUMENT RESUME. ED 369 802 TM 021 229. TITLE Educational Record and Report Forms. Annotated. Bibliography

DOES THE TEST COLLECTION DATABASE REVIEW THE TESTS?

No, other reference guides such as Mental Measurements Yearbooks, Tests:A Comprehensive Reference for Assessments in Psychology, Education, andBusiness, and Test Critiques distributed by Pro-Ed fill that role. You cansearch the tables of contents for the MMY and Test Critiques through theERIC AE Gopher Site.

ARE ALL THE TESTS IN THE DATABASE CURRENTLY IN PRINT?

No, some of the items are out of print. We suggest contacting thepublisher for permission to use out-of-print materials. Phone numbers can belocated using another menu option on the ERIC_AE Gopher Site,

WHERE CAN I SEE THE ACTUAL TEST INSTRUMENTS?

Availability information is provided in the records. Many colleges anduniversities have test collections in their libraries. Talk to you locallibrarian for more information.

WHAT IS TESTS IN MICROFICHE?

Tests in Microfiche is a subcollection of unpublished researchinstruments that are available for purchase in microfiche from the ETS TestCollection. The collection includes instruments appropriate for diversepopulations (infants, learning disabled, adults, etc.) Each set spans a widerange of topics such as job satisfaction and attitudes towards school. Morethan 800 tests are available.

DOES THE TEST COLLECTION PROVIDE REFERENCE SERVICES?

No, the descriptive information in the database should help answer mostquestions people may have. And the publisher of the particular test is themost competent source of information. You can, however, route generalirquiries to [email protected].

[email protected] Clearinghouse on

Assessment and Evaluation 800 464-3742 (800 Go4-ERIC)Catholic University of America 202 319-5120Washington, DC 20064 FAX: 202 319-6692

9 2